Jackson Family Dental Gladstone Llc

LBN: Jackson Family Dental Gladstone Llc
Jackson Family Dental Gladstone Llc is an health care organization with primary practice located at 2109 Ne 72Nd St Ste 104, Gladstone MO 64118-2304. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jackson Family Dental Gladstone Llc can be contacted via phone (816) 453-3100, or through Jackson, Jesse Lynn via phone (816) 429-5799.

Contact Information

Primary practice address
2109 Ne 72Nd St Ste 104 Gladstone MO 64118-2304
Phone: (816) 453-3100
Fax: (816) 453-3180
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jesse Lynn Doctor of Dental Surgery (DDS)
Phone: (816) 429-5799

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1194115865
LBN Legal business name Jackson Family Dental Gladstone Llc
DBA Doing business as
Authorized official Jackson, Jesse Lynn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2015
Last updated Feb 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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